Ugo Udeochu, NP
Nurse Practitioner, Psych/Mental Health in Valley Stream, NY. Individual provider (NPI-1).
NPI number1265026892
StatusActive
Last updated in NPPESFeb 24, 2021
Details
- NPI
- 1265026892
- Entity type
- Individual (NPI-1)
- Name
- Ugo Udeochu
- Credential
- NP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 24, 2021
- Certification date
- Feb 24, 2021
- Last updated
- Feb 24, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 403420 | NY | Yes |
Practice location
50 W Hawthorne Ave Fl 2Valley Stream, NY 11580-6223
Phone 516-569-6600
Mailing address
15038 115th DrJamaica, NY 11434-1502
Phone 718-496-0634
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